基于症状管理理论的护理干预在慢性鼻窦炎鼻内镜术后患者中的应用

Effects of nursing intervention based on symptom management theory in patients with chronic sinusitis after endoscopic sinus surgery

目的探讨基于症状管理理论的护理干预在慢性鼻窦炎鼻内镜术后患者主观症状管理中的效果。方法采用便利抽样法,选取2021年3—12月首都医科大学附属北京天坛医院收治的68例行鼻内镜手术治疗的慢性鼻窦炎患者,根据患者的入院时间进行分组,将2021年3—7月入院的患者设为对照组,将2021年8—12月入院的患者设为干预组,每组34例。两组均接受常规手术治疗与护理,干预组在常规护理的基础上实施基于症状管理理论的护理干预措施,比较两组患者术后的主观症状情况、术后焦虑情况。结果干预组术后24、48 h的头痛、面部胀痛、咽干和整体不适感得分低于对照组,差异有统计学意义(P<0.05);干预组术后24、48 h的流眼泪评分与对照组比较,差异无统计学意义(P>0.05)。干预组患者术后48 h的焦虑得分均低于对照组,差异有统计学意义(P<0.05)。结论基于症状管理理论的护理干预有利于改善慢性鼻窦炎鼻内镜术后患者的头痛、面部胀痛、咽干等主观症状及整体不适感,改善患者术后的焦虑情绪。

Objective To explore the effect of nursing intervention based on symptom management theory in the management of subjective symptoms in patients with chronic sinusitis after endoscopic sinus surgery.Methods From March to December 2021,convenience sampling was used to select 68 patients who underwent endoscopic sinus surgery for chronic sinusitis in Beijing Tiantan Hospital affiliated to Capital Medical University.The patients were grouped according to their admission time,and the patients admitted from March to July 2021 were set as the control group,and the patients admitted from August to December 2021 were set as the intervention group,with 34 cases in each group.Both groups received routine surgical treatment and nursing,and the intervention group implemented nursing interventions based on symptom management theory on the basis of routine nursing.Postoperative subjective symptoms and postoperative anxiety were compared between the two groups.Results The scores of headache,facial pain,dry throat and overall discomfort in the intervention group at 24 hours and 48 hours after operation were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no statistical difference in tearing scores at 24 hours and 48 hours after operation between the intervention group and the control group(P>0.05).The anxiety score of the intervention group at 48 hours after operation was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusions Nursing intervention based on symptom management theory is beneficial to improve the subjective symptoms and overall discomfort of patients with chronic sinusitis after endoscopic sinus surgery,such as headache,facial pain,dry throat,and improve postoperative anxiety.